The Arizona Li 214 244 form is a crucial document required by the Arizona Department of Real Estate (ADRE) for individuals seeking or renewing various real estate-related licenses. This form serves to disclose any disciplinary actions that may affect a licensee's qualifications and suitability to hold an Arizona Real Estate License, among others. By ensuring transparency in the licensing process, the form helps maintain the integrity of the real estate profession in Arizona.
The Arizona Li 214 244 form, known as the Disciplinary Actions Disclosure, plays a critical role in the licensing process for various real estate professionals in Arizona. This form is mandated by the Arizona Department of Real Estate (ADRE) and is essential for assessing the qualifications and suitability of individuals seeking or renewing licenses, including those for real estate, employing brokers, and educational instructors, among others. Applicants must disclose any past disciplinary actions, including misdemeanors and felonies, as well as any license denials or suspensions. This disclosure process is not merely a formality; it serves to ensure that all licensees uphold the integrity of the profession. Failing to provide truthful answers can lead to severe consequences, such as suspension or revocation of the license. The form includes a series of questions aimed at uncovering any relevant past actions that could affect an applicant’s eligibility. Additionally, if any affirmative responses are given, further documentation may be required. Completing this form accurately and honestly is vital for maintaining compliance with Arizona's real estate laws and regulations.
Arizona Department of Real Estate ( ADRE)
JANI CE K. BREWER
Licensing Division
GOVERNOR
w w w .azre.gov
JUDY LOWE
COMMI SSI ONER
2910 N. 44th STREET ● SUITE 100 ● PHOENIX, AZ ● 85018
DISCIPLINARY ACTIONS DISCLOSURE (LI-214/244)
ARS §§ 32-2123 and 32-2130 & AAC R4-28-301 and AAC R4-28-303
The Disciplinary Actions Disclosure is required by ADRE to determine qualifications and suitability of the licensee to hold an Arizona Real Estate License, Employing Broker License, Entity License, Cemetery License or a Membership Camping License, Educational School License, Educational I nstructor License or Public Report License. Check one:
Original Application. Disciplinary Actions Disclosure for Misdemeanors (immediate past 10 years); Felony-indefinitely
Renewal Application. Disciplinary Actions Disclosure for immediate past renewal period.
Failure to answer these questions truthfully may result in disciplinary actions including, but not limited to, suspension, revocation and/ or civil penalties.
ARS §§ 32-2153(B) and 32-2160.01
Has the Applicant / I s the Applicant:
1
Had a professional or occupational license or registration of ANY kind denied, suspended, restricted, or revoked? (Drivers
YES
NO
License/ CDL not included)
2
Had an administrative order and/ or ANY other disciplinary action taken against ANY license issued to them by any local,
state, or federal regulatory agency?
3
Had an action issued by the ADRE which resulted in an Accelerated Settlement Agreement (ASA)?
4
Voluntarily surrendered ANY professional or occupational license during the course of an investigation or disciplinary
proceeding?
5
Entered into ANY consent decree, and/ or had an injunction (either temporary or permanent), a suspension, an order
and/ or a judgment issued which prohibited or restricted them from engaging in ANY profession or occupation?
6
Had any judgment and/ or order against them by ANY court involving fraud, dishonesty, misrepresentation, unfair trade
practice, or moral turpitude?
7
Had any judgment and/ or order entered against them by ANY court arising out of the conduct of any business in real
estate, cemetery property, timeshare intervals, or membership campgrounds?
8
Had ANY SUBDI VI SI ON PUBLI C REPORT or REGI STRATI ON TO SELL real estate, timeshares, cemetery lots, or
campground memberships denied and/ or suspended?
9
Had ANY payment made from the real estate recovery fund and/ or ANY similar fund that was charged against them
and/ or against a business for which they were the qualifying party?
10
Currently involved in ANY pending disciplinary hearings and/ or other
administrative actions, against ANY professional
and/ or occupational licenses held in Arizona and/ or in any other state?
11
Held, and/ or currently holds
ownership and/ or controlling interest
of 10% or more in any business, corporation,
partnership, or limited liability company that would cause them to answer “yes” to any of the above questions.
Been convicted and/ or entered into a plea agreement and/ or a plea of NOLO CONTENDERE (no contest) to ANY felony in
12
Arizona and/ or any other state, whether or not the plea or verdict was set aside, judgment or sentencing was deferred,
conviction was dismissed or expunged, or has been pardoned?
Been convicted or entered into a plea agreement or a plea of NOLO CONTENDERE (no contest) to ANY misdemeanor in
Arizona or any other state, whether or not the plea or verdict was set aside, judgment or sentencing was deferred, the
13
CONVI CTI ONS – DUI AND/ OR RECKLESS DRI VI NG, EI THER MI SDEMEANOR OR FELONY, MUST BE DI SCLOSED
Minor traffic citations do not constitute a misdemeanor or felony offense.
14
CURRENTLY in a deferred period of judgment or sentencing, in a diversion program, and/ or convicted of a Class 6
Undesignated Offense, which has not yet been designated as a felony or misdemeanor as of the date of this application?
15
CURRENTLY incarcerated, paroled, and/ or on probation because of ANY conviction?
I f the applicant answ ered YES to any questions 1 through 14, applicant must also answ er the follow ing:
Has the applicant previously disclosed the incident to ADRE in writing?
Approximate date of disclosure
Type of disclosure
I f the incident and/ or action has not previously been disclosed to the ADRE in writing, refer to the DI SCLOSURE DOCUMENT CHECKLI ST FORM (LI -400) for a list of additional required documentation that must be submitted to ADRE before a renewal application is submitted for processing.
A fingerprint clearance card is required if there are any “YES” answ ers, other than a “YES” on question number 3 .
ATTESTATI ON
I attest, under penalty of perjury, under the laws of the State of Arizona, that the foregoing answers and statements given in this application are true and correct . I certify that at the time of ADRE license issuance, I will be 18 years of age or older. I certify that while licensed, I will not violate any provisions of Real Estate Laws nor abuse the privileges of ADRE issued licenses.
Print Name
Signature of Applicant
Date
ADRE License#
Email Address
LI-214/244 REV 4/2012
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